Dental Board of California
Licensing details for: 474
Name: ESTACIO, DANIEL TORIBIO
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
27310 Rose Mallow Ln
SANTA CLARITA CA 91387-6953
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VINELAND FAMILY DENTAL GROUP, ESCUTIN & ESTACIO,
License/Registration Type: Fictitious Name Permit
License Number: 4522 Primary Status: Cancelled
Address :
8052 VINELAND AVE, STE 109
SUN VALLEY CA 91352
LOS ANGELES COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ESTACIO, DANIEL TORIBIO
License/Registration Type: Dentist License
License Number: 47886 Primary Status: Current - Active
Address :
27310 ROSE MALLOW LN
SANTA CLARITA CA 91387
LOS ANGELES COUNTY
